MEDICARE: MR. JOSEPH ANTHONY ACCETTA PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	022393-01	NY
2	363A00000X	Physician Assistant	0010-14264	NC

General Provider Information

NPI Number	:	1548742638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH ANTHONY ACCETTA PA-C

Provider Business Mailing Address
First Line	:	816 FAIRMEADOW AVE
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-2120
Country	:	US
Telephone Number	:	516-972-5635
Fax Number	:

Provider Business Practice Location Address
First Line	:	5826 SAMET DR STE 101
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-3661
Country	:	US
Telephone Number	:	336-905-6435
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2018
Last Update Date	:	08/22/2025

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